Heritage Conservation Award Nomination Form

Nomination Form

Before submitting this form, please review the Heritage Conservation Award Guidelines and application criteria.

Nominator

Name of nominating individual, group or organization.

Contact Person (if different from above).

Municipal Address

Postal Code

Telephone Number

Nominator Email

Fax

Nominee

Name of Nominee

Telephone Number

Municipal Address

Postal Code

Nominee Email

Fax

Please answer the following questions.

(Up to 250 words each)

1. What was the purpose of the project?

2. How does the project meet the standard of preservation, rehabilitation, and restoration?

3. What work was done? By whom? What problems were encountered? How were they overcome?

4. Please describe the benefits to cultural heritage resourses in our community and identify any innovative, creative or outstanding aspects of the contribution.

5. What is your relationship to the project/nominee? How did you find out about the project?

6. Attach photographs that demonstrate the completed work. (Up to a maximum of 5)

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Allowed extensions pdf, jpg, jpeg

Name and Title of Nominator

Date

Click the "Save" button to continue working on this application at a later date.

Click the "Submit" button only when fully completed as you will no longer have access to the application.

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Heritage Conservation Award Nomination Form

Nomination Form

Nominator

Nominee

Please answer the following questions.